PMID: 3375232Jan 1, 1988Paper

Nonfunctioning pancreatic neuroendocrine tumors presenting as pancreatitis: report of four cases

Pancreas
W F SimpsonM C Anderson

Abstract

The presentation of pancreatic adenocarcinoma as acute or chronic pancreatitis has been well documented; however, there has been only one previous report of either functioning or nonfunctioning pancreatic neuroendocrine tumors associated with pancreatitis. At the Medical University of South Carolina in Charleston, from March 1982 through September 1987, we have managed four patients with nonfunctioning pancreatic islet cell tumors or carcinoids, which presented with attacks of pancreatitis. Three of the patients had recurrent bouts of upper abdominal and lower dorsal back pain with elevation of the serum amylase. One patient presented initially with acute upper abdominal pain and elevation of the serum amylase. Each patient had an endoscopic retrograde cholangeography pancreatography (ERCP) pattern involving the pancreatic duct which was characterized by diffuse dilatation proximal to the site of obstruction. One of the four had a tumor blush on splanchnic angiography. Each patient had CT evidence of a mass in the head of the pancreas; however, one of the four was found to have diffuse involvement of the entire gland at operation. Surgical therapy varied: (a) local excision of the ampullary area with re-anastomosis of the pancr...Continue Reading

Citations

May 24, 2007·Journal of Hepato-biliary-pancreatic Surgery·Mitsuhiro InagakiShinichi Kasai
Mar 15, 2012·Pancreas·Marta Tejedor BravoMaría de Los Ángeles Martín Scapa
Jul 18, 2002·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·S ShrikhandeM W Büchler
Oct 7, 2000·Gastrointestinal Endoscopy·O PechP Wünsch
Apr 9, 2013·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Tim AmbroseNishchay Chandra
Jul 18, 2006·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·L LandoniP Pederzoli
May 11, 2000·Gastrointestinal Endoscopy·T ObaraY Kohgo
Sep 25, 2001·The American Journal of Gastroenterology·M J Levy, J E Geenen
Jun 30, 2018·Current Opinion in Gastroenterology·Theodore W James, Seth D Crockett
Jul 31, 2013·The American Journal of Gastroenterology·Scott TennerUNKNOWN American College of Gastroenterology
Mar 25, 2011·Virchows Archiv : an International Journal of Pathology·Thomas WalterJean-Yves Scoazec
Mar 1, 1991·Baillière's Clinical Gastroenterology·J E Geenen, P Rolny

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